Anthem Blue Cross and Blue Shield Coverage for Xeljanz
15 Plans
15 Plans
Medicare - MA-PD
$$$$$Preferred
PA requirements
Step therapies
Quantity Limit
Commercial - Employer
$$$$$Non-preferred
PA requirements
Step therapies
Quantity Limit
Commercial - HMO
$$$$$Non-preferred
PA requirements
Step therapies
Quantity Limit
Commercial - PPO
$$$$$Non-preferred
PA requirements
Step therapies
Quantity Limit
Commercial - POS
$$$$$Specialty
PA requirements
Step therapies
Quantity Limit
Managed Medicaid - HMO - Medicaid
$$$$$Preferred
PA requirements
Quantity Limit
Health Exchange - PPO-HIX
$$$$$Non-preferred
PA requirements
Step therapies
Quantity Limit
Health Exchange - HDHP-HIX
$$$$$Non-preferred
PA requirements
Step therapies
Quantity Limit
Health Exchange - HMO-HIX
$$$$$Non-preferred
PA requirements
Step therapies
Quantity Limit
Commercial - Other Insurer
$$$$$Specialty
PA requirements
Step therapies
Quantity Limit
Medicare - PDP
$$$$$Specialty
PA requirements
Step therapies
Quantity Limit
Health Exchange - POS-HIX
$$$$$Non-preferred
PA requirements
Step therapies
Quantity Limit
Managed Medicaid - HMO - Medicaid
$$$$$Non-preferred
PA requirements
Step therapies
Quantity Limit
Managed Medicaid - HMO - Medicaid
$$$$$Non-preferred
PA requirements
Medicare - PDP
$$$$$Not covered
Alternative Drug Suggestions